16D0666087 CLIA NUMBER - CHEROKEE MENTAL HEALTH INSTITUTE

Laboratory Demographics

  • CLIA Code: 16D0666087
  • Facility Name: CHEROKEE MENTAL HEALTH INSTITUTE
  • Facility Address: 1251 WEST CEDAR LOOP
    CHEROKEE, IA
    ZIP 51012
  • Facility Phone: 712 225-2594
  • Facility Type: Other - MENTAL HEALTH INSTITUTE
  • Facility Type: Waiver
  • Lab Director: BRIAN FULTON
  • NPI Number: 1174529283
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 16D0666087
LAB Type Other - MENTAL HEALTH INSTITUTE
Facility Name CHEROKEE MENTAL HEALTH INSTITUTE
Street 1251 WEST CEDAR LOOP
City CHEROKEE
State IA
ZIP 51012
Phone 712 225-2594
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Other - MENTAL HEALTH INSTITUTE
Lab Director BRIAN FULTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025